LEAVE APPLICATION FORM

Completed by Employee:

Name : Employee No.:

Dept : Designation:

Type of leave:

ANNUAL LEAVE _ UNPAID LEAVE EMERGENCY LEAVE

MEDICAL LEAVE COMPASSIONATE TIME-IN-LIEU

OTHERS :
________________________________________________________________________________

Date taken from: _ / /2022 - / /2022

Number of days: ____ days

Contact number in case of emergency: ______________

________________________ __________________________
Employee Signature Back up Name

________________________ __________________________
Date: Backup Signature

Completed by Superior:

APPROVE: _______ REJECT: _______

Reason of rejection: _____________________________________________________________________

_______________________ _________________________
Immediate Superior Received by HR
Date: Date: